| NPI | 1235567132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1807093) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76041) |
| 101YP2500X Counselor, Professional (Licence: MO 2015013821) | |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2018-11-13 |